Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 at UPMC Magee
300 Halket Street, Pittsburgh, PA · UPMC · · NPI 1952311508
$760.80
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$1,268.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$55.01 with UPMC Health Plan vs $1,166.56 with Multiplan — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| UPMC Health Plan | Managed Medicaid | $55.01 | ↓ -93% |
| United Healthcare Community Plan for Families | PA CHIP/PA Medicaid | $55.01 | ↓ -93% |
| Aetna | Medicare | $55.07 | ↓ -93% |
| Aetna | CHIP/Medicaid | $65.01 | ↓ -91% |
| Highmark Wholecare (prev Gateway) | Medicaid | $74.16 | ↓ -90% |
| Geisinger | Medicaid/CHIP | $77.85 | ↓ -90% |
| AmeriHealth Caritas | Community HealthChoices (CHC)/Medicaid | $79.14 | ↓ -90% |
| PA Health & Wellness | Community Health Choices/PA Medicaid HMO | $85.23 | ↓ -89% |
| Highmark BCBS of PA | Complete Blue Medicare Advantage/Freedom Blue Medicare Advantage/Security Blue Medicare Advantage | $96.77 | ↓ -87% |
| UPMC Work Partners | Workers Comp | $190.14 | ↓ -75% |
| Highmark BCBS of PA | Managed Care - Social Mission | $279.97 | ↓ -63% |
| Highmark BCBS of PA | Commercial - Social Mission Indemnity | $324.60 | ↓ -57% |
| Highmark BCBS of PA | Managed Care | $374.93 | ↓ -51% |
| Highmark BCBS of PA | Commercial - Indemnity | $434.71 | ↓ -43% |
| UPMC Health Plan | CHIP | $443.80 | ↓ -42% |
| Aetna | Neighborhood Network | $456.48 | ↓ -40% |
| Aetna | EBR FI | $494.52 | ↓ -35% |
| Aetna | Home Depot Employer Group | $497.06 | ↓ -35% |
| Cigna | Commercial | $507.20 | ↓ -33% |
| Aetna | EBR ASO | $507.20 | ↓ -33% |
| Aetna | NBR ASO/FI | $507.20 | ↓ -33% |
| Cigna | New Business ASO | $507.20 | ↓ -33% |
| UPMC Health Plan | Commercial | $551.58 | ↓ -28% |
| Highmark BCBS of PA | UPMC Emergent | $562.40 | ↓ -26% |
| Highmark Wholecare (prev Gateway) | Medicare | $634.00 | ↓ -17% |
| InterGroup | PPO | $634.00 | ↓ -17% |
| Coventry/First Health | Commercial | $887.60 | ↑ +17% |
| Preferred Healthcare System | PPO | $1,014.40 | ↑ +33% |
| Private Health Care Systems | PPO | $1,077.80 | ↑ +42% |
| Humana | Commercial | $1,077.80 | ↑ +42% |
| Multiplan | PPO | $1,166.56 | ↑ +53% |
Visitor-reported prices
Comments
Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 at other Pennsylvania hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| UPMC Passavant-McCandless | Pittsburgh | $575.40 | $55.01 – $221.09 |
| UPMC Altoona | Altoona | $559.20 | $50.01 – $745.60 |
| UPMC Carlisle | Carlisle | $231.60 | $52.88 – $9,539.00 |
| UPMC Community Osteopathic | Harrisburg | $231.60 | $65.51 – $395.69 |
| UPMC Hanover | Hanover | $231.60 | $63.51 – $198.98 |
| UPMC Lititz | Lititz | $231.60 | $50.06 – $198.98 |
| UPMC Memorial | York | $231.60 | $50.06 – $198.98 |
| UPMC Somerset | Somerset | $231.60 | $55.01 – $190.14 |